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Utilization Review Jobs in Temple, TX (NOW HIRING)

HEB

Staff Pharmacist II - Killeen

Killeen, TX · On-site

$126K/yr

Performs drug utilization reviews * Ensures accurate inventory management and compliance with proper processes (e.g., maintenance of correct counts in RxIMS, Warehouse, DSD, and Central Fill order ...

HEB

Staff Pharmacist II - Temple

Temple, TX · On-site

$48 - $56.50/hr

Performs drug utilization reviews * Ensures accurate inventory management and compliance with proper processes (e.g., maintenance of correct counts in RxIMS, Warehouse, DSD, and Central Fill order ...

HEB

Staff Pharmacist II - Temple

Temple, TX · On-site

$126K/yr

Performs drug utilization reviews * Ensures accurate inventory management and compliance with proper processes (e.g., maintenance of correct counts in RxIMS, Warehouse, DSD, and Central Fill order ...

Baylor Scott & White Health

Retail Pharmacist I

Temple, TX · On-site

$47 - $56.50/hr

Reviews reasonable directions for use and duplication of therapy. Identifies drug-to-drug, drug/food, and drug-disease interactions. Monitors adverse drug reactions and proper utilization, including ...

Baylor Scott & White Health

Retail Pharmacist I

Belton, TX · On-site

$50 - $60.25/hr

Reviews reasonable directions for use and duplication of therapy. Identifies drug-to-drug, drug/food, and drug-disease interactions. Monitors adverse drug reactions and proper utilization, including ...

Baylor Scott & White Health

Retail Pharmacist I

Temple, TX · On-site

$47 - $56.50/hr

Reviews reasonable directions for use and duplication of therapy. Identifies drug-to-drug, drug/food, and drug-disease interactions. Monitors adverse drug reactions and proper utilization, including ...

Baylor Scott & White Health

Retail Pharmacist I

Temple, TX · On-site

$47 - $56.50/hr

Reviews reasonable directions for use and duplication of therapy. Identifies drug-to-drug, drug/food, and drug-disease interactions. Monitors adverse drug reactions and proper utilization, including ...

Baylor Scott & White Health

Retail Pharmacist I

Killeen, TX · On-site

$52 - $62.50/hr

Reviews reasonable directions for use and duplication of therapy. Identifies drug-to-drug, drug/food, and drug-disease interactions. Monitors adverse drug reactions and proper utilization, including ...

Sundt

Senior Project Manager

Burlington, TX · On-site

... review of estimates with attention to the following: adherence to cost control system, equipment requirements and utilization, constructability, formwork, materials, manpower, general conditions ...

thrivespc

Care Experience Manager

Temple, TX · On-site

Performs initial review of schedules for productivity/geographic issues. * Completes daily and weekly pre-bill audits to ensure proper payor utilization and appropriate staffing per payor ...

thrivespc

Care Experience Manager

Temple, TX · On-site

Performs initial review of schedules for productivity/geographic issues. * Completes daily and weekly pre-bill audits to ensure proper payor utilization and appropriate staffing per payor ...

thrivespc

Care Experience Manager

Temple, TX · On-site

Performs initial review of schedules for productivity/geographic issues. * Completes daily and weekly pre-bill audits to ensure proper payor utilization and appropriate staffing per payor ...

Walmart

Maintenance Manager (Grocery)

Temple, TX · On-site

... asset utilization and preparing reviewing andor analyzing business reports Monitor and ensure area of responsibilitys compliance with Logistics and company quality and safety standards policies ...

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Showing results 21-40

All JobsUtilization Review JobsUtilization Review Jobs in Temple, TX

Utilization Review information

See Temple, TX salary details

$19

$39

$64

How much do utilization review jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for utilization review in Temple, TX is $39.28, according to ZipRecruiter salary data. Most workers in this role earn between $31.06 and $45.10 per hour, depending on experience, location, and employer.

What is a utilization review?

A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.

What does a utilization review do?

A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.

What are the key skills and qualifications needed to thrive in utilization review?

To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.

How do I get into a utilization review?

To become a utilization review specialist, typically a healthcare or related degree such as nursing, health administration, or social work is required. Certification in case management or utilization review, like the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects, and strong analytical and communication skills are essential for success in the role.

Is utilization review a stressful job?

Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, often under strict deadlines and documentation requirements. The job can be stressful due to high workload, the need for accuracy, and managing complex cases, but stress levels vary based on work environment and individual coping skills.

What are the most commonly searched types of Utilization Review jobs in Temple, TX?

The most popular types of Utilization Review jobs in Temple, TX are:

What are popular job titles related to Utilization Review jobs in Temple, TX?

For Utilization Review jobs in Temple, TX, the most frequently searched job titles are:

What job categories do people searching Utilization Review jobs in Temple, TX look for?

The top searched job categories for Utilization Review jobs in Temple, TX are:

What cities near Temple, TX are hiring for Utilization Review jobs?

Cities near Temple, TX with the most Utilization Review job openings:

Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Temple, TX as of August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 21% Part Time, 1% Temporary, and 7% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $81,705 per year, or $39.3 per hour.

Staff Pharmacist II - Killeen

HEB

Killeen, TX • On-site

$126K/yr

Full-time

Re-posted 21 days ago

Key responsibilities

  • Manage and operate a retail pharmacy, ensuring efficient workflow, inventory management, and system functionality.

  • Collaborate with pharmacy team and management to provide superior patient care and customer service.

  • Ensure compliance with all applicable regulations, perform drug utilization reviews, and support pharmacy operations and professional services.

Job description

Job Description
Job Summary: As an H-E-B Staff Pharmacist, you'll foster a caring, team environment to ensure we provide responsive healthcare and exceed patient expectations while delivering excellent, accurate, and efficient services. You'll support efforts to retain the integrity of pharmacy practice within our retail environment.
Key Responsibilities & Essential Functions:
• Leadership / Management:
  • Works in a retail pharmacy operation, filling...
  • -- <2,000 scripts per week, Staff Pharmacist I
  • -- <2,000 - 3,500 scripts per week, Staff Pharmacist II
  • -- >3,500 scripts per week, Staff Pharmacist III
  • Works closely with Pharmacy Manager, other Pharmacists, Pharmacy Technicians, and Pharmacy Care Representatives (PCRs) to ensure the pharmacy provides superior patient care and customer service; role models / provides superior customer service and service standards
  • Performs functions related to managing and operating a pharmacy in a retail environment; assists in managing production efficiency through use of labor schedules; works collaboratively with Top Store Leaders and Regional Director
  • Assists with Partner training and Partner readiness / competency; participates in career planning for direct reports
  • Implements / maintains workflow and quality control methods; applies knowledge of all pharmacy functions; promotes continuous improvement
  • Ensures efficient operation of systems and applications (e.g., RxEVO, RxIMS, PartnerNet, ScriptPro, Kirby Lester, point of sale); maintains automated prescription processing equipment (e.g., Kirby Lester, ScriptPro); responsible for calibration, maintenance, stocking, proper report execution
  • Oversees third-party prescription processing, adjudication review, and resolution of third-party issues
  • Performs drug utilization reviews
  • Ensures accurate inventory management and compliance with proper processes (e.g., maintenance of correct counts in RxIMS, Warehouse, DSD, and Central Fill order / invoice processing, processing of RxIMS reports, review of Warehouse and DSD orders, reverse logistics processes, product quality assurance and assembly accuracy, OTC shelf-stocking, and daily return-to-stock)
  • Assists in conducting / is responsible for bi-annual inventory of controlled substances and physical pharmacy inventory; uses RxIMS to manage inventory according to seasonal / budgetary requirements
  • Performs 7-point check to approve processed prescriptions; verifies all Technician / PCR work; assists with prescription questions
  • Performs other assigned duties

• Compliance:
  • Ensures the department complies with all state and federal rules and regulations (TSBP, DPS, FDA, CLIA, DEA, etc.)
  • Provides patient counseling on all new prescription orders as required by Board of Pharmacy rules and regulations
  • Ensures privacy / confidentiality of Personal Health Information (PHI) as required by HIPAA and federal / state privacy rules and regulations; ensures proper procedures are followed related to prescription delivery to a patient
  • Ensures compliant processing of expired and recalled products; ensures compliance with guidelines related to CSOS procedures
  • Ensures pharmacy / staff licenses are current and renewed according to H-E-B guidelines
  • Establishes / adopts best practices to ensure accurate fulfillment, review and verification, patient profile information, and delivery of prescription orders in compliance with H-E-B SOPs
  • Contacts prescribers regarding script questions or problems; verifies / documents prescriber information in compliance with H-E-B Questionable Prescription SOP, and Board of Pharmacy regulations
  • Supports Rx Manager in efforts to ensure staff reads and complies with communications, tasks, and memos from corporate Pharmacy support groups
  • Ensures / supports Rx Manager with compliance of ORT, 5-S, Pharmacy Standards Review, and upkeep of pharmacy presentation, organization, sanitation, and maintenance of all pharmacy-related areas; ensures approved marketing materials are displayed
  • Participates in / supports H-E-B Pharmacy directives and professional services (e.g., MTM and health screenings); serves as certified immunizer; serves as preceptor

The responsibilities and essential functions outlined above describe the general nature and level of work assigned to this position. This is not an exhaustive list of all duties, responsibilities, and skills required. Duties and responsibilities may be modified at any time based on business needs. Employees may be required to perform other job-related tasks as requested by their supervisor, subject to reasonable accommodations.
Qualifications & Key Requirements:
Work Experience:
  • TSBP Preceptor certification after one year of pharmacy practice -

    • Knowledge/Skills/Abilities:
  • Expert knowledge / understanding of systems and applications that support production (e.g., RxEVO, RxIMS, PartnerNet, counting technology such as ScriptPro, Kirby Lester, point of sale), and all pharmacy-related management tasks -
  • Understanding of H-E-B initiatives and operations (e.g., Greet, Ask & Thank, 5-S, CID, Central Fill, Contact Center, Refill Express, compounding, and specialty operations) -
  • Proficiency in MS Office applications -
  • Expert problem-solving, and analytical skills -
  • Strong communication and organization skills; precision-oriented -
  • Leadership skills -
  • Ability to manage multiple priorities and shift focus between tasks in stressful situations -

    • Education:
  • of Science Pharmacy or Doctor of Pharmacy degree -

    • Licenses/Certifications:
  • TSBP-registered -
  • TSBP recertification at least 60 days prior to expiration date -
  • TSBP-certified immunizer -
  • Successful completion of all training e.g -
  • H-E-B 40-hour pharmacist orientation under supervision of Dedicated Trainer -
  • federally- and state-mandated training -
  • HIPAA -
  • FWA -
  • Company orientation -
  • and appropriate management courses -

    • Physical Demands & Working Conditions:
  • Function in a fast-paced, retail, office environment
  • Travel to Stores in assigned Region / companywide as required
  • Maintain open availability and work rotating shifts to meet business needs (includes weekends)
  • Stand / sit for extended periods (up to 12 hours)
  • Regularly lift up to 20 lbs

    • The work environment characteristics described here are representative of those a Partner encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
    Last revised: 1/1/2017

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